Active NPI
Stacey Viciere
- General Practice Physician
- Brooklyn, NY
National Provider Identifier
1932039294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- F359656
- Practice address
- 1524 E 45TH St
Brooklyn, NY 11234-3004 - Phone
- (347) 760-4030
- NPI assigned
- May 20, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | F359656 | NY | Primary |
Addresses
Primary practice location
1524 E 45TH St
Brooklyn, NY 11234-3004
Mailing address
1524 E 45TH St
Brooklyn, NY 11234-3004
Phone (347) 760-4030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F359656 | NY | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1932039294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 E 45TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112343004",
"telephone_number": "347-760-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 E 45TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112343004",
"telephone_number": "347-760-4030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICIERE",
"first_name": "STACEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-20",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "F359656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.